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Limited Home Care Plan Oversight, 30 Minutes

New Jersey rates for HCPCS G0086

Limited (30 minutes) care management home care plan oversight. For use only in a Medicare-approved CMMI model (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

Rates data updated July 2026.

How much does Limited Home Care Plan Oversight, 30 Minutes cost?

$74.13

Typical physician fee. In New Jersey, July 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $67.61 to $83.18.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $74 · 10th to 90th $74 to $74Professionalmedian $74 · 10th to 90th $59 to $87
$50.0$100.0$200.0$500.0facility $74professional $74

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$74.13
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$107.15
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$75.86
Typical High
$147.91

Where New Jersey sits

The same service costs 1.9 times more in North Dakota than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $74.13 · 35th of 51
ND $123LA $64.57

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.